ELISSA JO FORTNA Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010481

License Status

ACTIVE

Business

First Name

ELISSA

Middle

Last Name

FORTNA

Business Name

ELISSA JO FORTNA

Original Issue Date

04/18/2003

Effective Date

10/16/2025

Expiration Date

11/30/2027

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/16/2025